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1306481999
DEZTINY ASHLEY FORD
BURBANK, CA
NPI
1306481999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-07
Last Update Date
2019-11-07
Business Address
DEZTINY ASHLEY FORD
124 E OLIVE AVE
BURBANK, CA 91502-1819
Phone number: 855-223-7123
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Mailing Address
DEZTINY ASHLEY FORD
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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